NORTHEAST ORAL AND MAXILLOFACIAL SURGERY

GAHANNA, OH
NPI1790860153
Entity TypeOrganization
Authorized ContactBRUCE ALLEN FRASER
Owner
614-471-6600
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2006-10-26
Last Update Date2020-08-22
Business Address
NORTHEAST ORAL AND MAXILLOFACIAL SURGERY
463 WATERBURY COURT SUITE A
GAHANNA, OH 43230
Phone number: 614-471-6600
Mailing Address
NORTHEAST ORAL AND MAXILLOFACIAL SURGERY
463 WATERBURY COURT SUITE A
GAHANNA, OH 43230
Phone number: 614-471-6600
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